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Revista de Enfermería del Instituto Mexicano del Seguro Social

2012, Number 3

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Rev Enferm IMSS 2012; 20 (3)

Impact of hand hygiene training and adherence in nosocomial infections

Guerrero-López LM, Barajas-Medina H, Caudillo-Cisneros C, López-Nava SM, Escalante- Piña O

Language: Spanish
References: 19
Page: 157-165
PDF size: 319.96 Kb.


ABSTRACT

Introduction: The deficient hand hygiene is still a fundamental hospital problem. Fulfilling international recommendations offers security in care.
Objective: Evaluate the impact of training in the hand hygiene technique with alcohol-gel over adherence and nosocomial infection frequency in adult and pediatric intensive care units.
Methodology: 68 health professionals working in a 3rd level hospital were evaluated. The study was developed in three stages. In the first phase, the hand hygiene technique was assessed according to the six moments suggested by World Health Organization guidelines. The second phase consisted on training on hand hygiene according to those guidelines and on the third stage, through shadow study, adherence to hand hygiene and its effect on frequency of nosocomial infections was evaluated.
Results: On the first stage 97.3% of professionals did not use alcohol - gel. Most of them only used chlorhexidine in moments I and IV. After training the adherence increased in all moments, except in III and V moments where adherence decreased in a slight way, both without any statistic significance. There was no difference among professionals, number of patients, personnel and patients’ condition.
Discussion and Conclusion: Training and alcohol - gel use inclusion influenced the adherence to hand hygiene practices. The technique and time did not change. The pattern of hand hygiene seems to follow a former conduct created in the development of health care professionals rather than the comprehension of «elective» washing required to assistance eventhough the hands are not perceived dirty.


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